経尿道前立腺切除術でみつかった偶発前立腺癌

Abstract

1) 1983年1月より, 4年間に, TUR-Pを施行した103例中, 9例(8.3%)に偶発前立腺癌が発見された.2)偶発前立腺癌(9例)と前立腺肥大症例(99例)において, 平均罹患年齢, 術前後のPAP値, および切除前立腺重量を比較検討した.3)偶発前立腺癌9例の病理組織学的分類は高分化腺癌8例, 中分化腺癌1例であった.4)偶発前立腺癌前例(9例)に対し, 去勢術を施行し, ホルモン療法の併用を行い経過を追跡中である

During the four years between January, 1983 and December, 1986, transurethral resection of the prostatic gland (TUR-P) was performed on 108 patients with benign prostatic hypertrophy at Osaka Municipal Kita Citizen's Hospital. Histopathological examination of the transurethral resection specimens revealed 9 cases (8.3%) of incidental carcinoma. In this study, the average patient age, preoperative prostatic acid phosphatase (PAP) level and weight of resection specimens were compared for all 108 patients. For the 9 patients with incidental carcinoma, the clinical stage, histological grade and therapy were evaluated.